HomeMy WebLinkAbout1920 Westview Dr - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivl.sion Name
property Use
Property Zoning . . .
Applicatl.on valuation
04-00000773 Date
.569344
1920 WESTVIEW DR
06-30-00-9-3-2030-0000-
MECHANICAL APPL. PERMIT
9/01/04
, "
RS7 RESDNTL SINGLE FAMILY
3500
~YAee:p
'?;?/zf3;b~
Owner
Contractor
JORISSEN ROBERT/SHARON
1521 SO.
PORT ANGELES WA 983631313
PA SWIMMING HOLE & FIREPLACE S
518 W 8TH ST
PORT ANGELES WA 98362
(360) 565-1163
Perml.t
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
PROPANE DERICT VENT INSERT
57.65 Plan Check
9/01/04 Valuation
3/01/05
Fee
.00
o
Lasered
CED
Qty Unit Charge Per
Extension
47.\00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilitIes, private and public improvements. This permit becomes
null and void if work or construction authorized IS not commenced Within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or If required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provIsions of
laws and ordinances governing thiS type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authOrity to violate or cancel the proVISions of any state or local law regulating construction or the performance of
construction.
DN
1= / L~
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T \PLANNlNG\FORMS\1102 15 [11/14/2003J
BUILDING PERMIT INSPECTION RECORD
.. ,
CALL 417-4815 FOR BUILDlNG INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION.
FOOTINGS
WALLS
FOUNDA nON DRAINAGE/DOWN SPOUTS
ELECTRICAl:, (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / RqOF / CEILING
DRYW ALL ~INTERJOR BRACED PANEL ONLY)
T-BAR II
INSULA TIO~i :
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEA T PUMR
I
GAS LINE ! 1('"")0 JLl
-, -n ,-c )"'"1
'I
WOOD ST00"E / PELLET / CHIMNEY
HOOD / DUCTS
II
PW UTILITlE~ / SITE WORK (Engmeenng D\VlSlon) SEP ARA TE PERMIT #'s'
W A TERLIN~ / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\ 11 02.15 (11/14/2003]
"
,
BUILDING PERMIT - APPUCA TION
F01( \)l.!.l( '1..\1 \ ," I, (IN~Y
1l.1l-. I{" .$ -I w 0.7.:.
J'l:IH\iUt)'1- '/.7.3
Fill out COi\U'Ll<.;TI~1. Y aud in IN K. Your ap(llicl1lion llml site plan MUST BE
COIVU'l,ETf. tu be ncccpr(::(l for review. tr )'I)U lun'c allY quesllons. call
(360) 417-41U S
Dull: Appmwd'
1l.11\' 1~:.\Il:II'
Phone;
Clty:_~ ~eles
!.\l'chjtectlEllgineCl.....~ __ _... __...__._....___.___. __._____ Phone: _..
ContractorY"A ~lA2~'1r..~_ Stale LI(;~m~ #.f'~WJi:A\\tl~~ Phone:r~/I's
Address' >7.'10 ~ 9+- City, i'bC+ A"(jelr~ Zip: 9\>J'b~
PRO.JEeT ADURF,SS: _8~H1e.t..1.J 'Dc- ~_~ ZOl\1l'1G:
LEGAL DESCRIP110N l.1lt: AIock' SubdlVlslon:
Apl'hC':'Int nr ^l~Nlt' ~.-l!)..ll~"'"
Owner;~~-k:S~GI\
Adun:ss, 19.:J..O UA6h,~cJ IX";
Phone: ~t.c-lI''?
Zip:
~~.f
CLALLAM COVN l'Y P,\ltCJ::L NUMBER: d$~~
Credit Card H(llder ~:llrl(::
Billing Address:
Credit C~Tdl ype YJSA_..j\-J(: ~,__ #~
TYPE OF WORK:
o Residential 0 Nl:\N Celm;tr. 0 Rr-rool a'Stuve
o Mu1h-f~ml1ly 0 Addllwn 0 Move 0 Gamge
a Commercial 0 R~ll1odcl 0 J)emoJinon 0 D~dc.
CJ R~ptlir 0 ~ie.lI fJ Olh"I' _,~
JUUEl<' l)I':SCRrJ>'llON 01'- THl!: )-'ROJECT ~~ Tt'(f;i/1Jr:..
_d-- 1':JD {j~.f a~ ~eUAJ. LF' -+ot.A.~ t. Lj ~~ 'L,._r..
COMMERCIAURESIDENTlAL: Ol:l"upam;y GWllP' O....Cllp:lJil LO.ld:
City~
-
Exp. Dat~: _
SIZE/V ALVATION:
___ Sf', @ $ ISF -- S
Sl", (if!. $ ISF ;:- $
Sf' @ $ /sr. .:. $
TOTAL VALUATION
~ t
~~.
,~ ~1~
CClIlstructlllll Typ..:'
Nu. uCSlUII\:::', LuL ::)u.l::. ___~ L...istillc; Sq. 1'., &. 1'1\)po~c:d Sq, [.'t,
I:!x!sting lot CO'd.:rag.c _ 'X, &: Prop()~cd IOL l:u\-'c:ru.g~ _% -=- TUlallol COV~l'age:
I.:SAlWc1hlnd(s). Ll YC"s!.1 Nil -":FPA Clit.'l'klht H.;qll:rl;d'! 0 y~~ 0 No Oth..:r.
APPUOV A.I-S:
])LAN:
HI..DG:
I)PW(J:
FIIH'::
()THl<~I{:
PLANNING USE O~LY:
HUUJDING PERMIT ,.\I'I'LlCA'l'JON SIIHMITTAL: The BlliI,hn~ Ol'vl'{I0n L:an pro\'lue Y<.1U w\lh InfoL"rl1i.1l1()ll un till: <Ipplic~IIIlJII and
pl<llL submm"l requj"~lJl('Ill'i If 'yOU lIa\ e qlll':StLlllLS,
VALUATION OF COl\'STRIJCTION: In :IH CllSt'!I,:1 valuation aUluUutallu!lt lJc entered by the .lppllcam. l1\is liglll't: Will b~ rC"H;Wtd
,.md rnay be I'c.,.i~cd by tll'" nIHldu'l", r h, l<!l\l(\ to ":0"'1'1)' WI(h ":\\ITCl1t 1'<:.; ..:hcd\.lk., \')lltuCllh.<: P<:rmit L'oordin",tor ,II '117 181 S 1'01' lI:.:;j:.lun.;<:.
I'LAN C}-Hi~{:K FE"~ If' <l pl..!JI du~d, ti.:~ is llLll' It J1lu~L be submitted at lhL: Illnt.: thl.: bUilding permtt applL,.oltioH :,n(\ ~('I1"t) 1I,:tlon plall~ .Irt.:
.,ubmiUcd. All otht:!' pcnlllf fl~CS <l1C' elite ....llh~ tunt: 1)/'pclInit ISSllanc~
EXPlKAT10N OF rl.AN llliVI1!:W: It no pClIrul!s IS$ued 'NllhmlMO tlays I)llhc (jute 01 ilppllc;.~lJOn, lilt; :IIJphc:ltJOll Will e"pI..e. 1111'
BuIlding Officl;).l call c\tl:nd tIll;' \lUll' tnI' .....;[lon by the appllC:lllt up Lo 180 lhl)'o; UpOl1 \'I1'I11on request by the: ..lppliCiIIlt (S~~~ Sel,:tloll 107.4 1)1'
tIle: tfmfonn BlUldlllC' ('oJ.:, l:lIl1"imL CdlIIOll). No ~lpphcCllion can bL: L:xtt:ndl:d more lhall once,
I hereby certJfy that I hElve reM aM u)(ammed thiS appltc,ltlon and know the saml:: to be rrue anA~orr~. I am authonzed to apply {or this permit and
Vrld.:rstgfl" tI1at it is my r~spOI1;,ibility to deteJlmil1e what permits arB ,.eq!Jire~;~t tl Ciry's, ~1,~Zt1.t rjst obtam $uch permits p(/Or to worn.
i!.. ./.t, ~(! /1 ~1- L~~ A ~_I_OU
1:II-OI<MS\AI'IJS\BuddlOcH"'I"ul l\p,1 APP111::lI'lC~z;"j.2::~:L.~ {II /--, J):lfO: E -,
2:0 39'itd
8313 dW'itHS
68912:9t:>09E1
00:60 t:>002:/10/60
PREPARED 9/29/04, 12 42 06
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
9/29/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1920 WESTVIEW DR
PA SWIMMING HOLE & FIREPLACE S
JORISSEN ROBERT/SHARON
06-30-00-9-3-2030-0000-
04-00000773 MECHANICAL APPL PERMIT
SUBDIV
PHONE (360) 565-1163
PHONE .
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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